Information Collection

Study on Arsenic and Uranium in Bedrock Wells of East Central Massachusetts (MASSWELL)

IC 187681 under ICR 200808-1028-002 · OMB 1028-0086.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MASSWELL survey.doc	Other-Survey Questionnaire
correspondences Part B 1B-5B.doc Correspondence Letters (attachements 1B-5B)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Questionnaire			MASSWELL survey.doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Correspondence Letters (attachements 1B-5B)	correspondences Part B 1B-5B.doc	12/29/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.